MICHAEL L TENNANT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047806914

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TENNANT

Suffix

Business Name

MICHAEL L TENNANT OD

Original Issue Date

01/21/1992

Expiration Date

03/31/1994

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005